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NUR3219C Adult Acute Exam 1 updated Questions With Complete Solutions
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NUR3219C Adult Acute Exam 1 updated Questions With Complete Solutions
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NUR3219C Adult Acute Exam 1 updated Questions WithComplete Solutions
8. The nurse caring for a patient with suspected acute
cholecystitis would anticipate (select all that apply)
a. ordering a low-sodium diet.
b. administration of IV fluids.
c. monitoring of liver function tests.
d. administration of antiemetics for patients with nausea.
e. insertion of an indwelling catheter to monitor urinary
output. Correct Answer b. administration of IV fluids.
c. monitoring of liver function tests.
d. administration of antiemetics for patients with nausea.
A 35-yr-old female patient is admitted to the emergency
department with acute abdominal pain. Which medical
diagnoses should you consider as possible causes of her pain?
(select all that apply)
a. Gastroenteritis
b. Ectopic pregnancy
c. Gastrointestinal bleeding
d. Irritable bowel syndrome
e. Inflammatory bowel disease Correct Answer a.
Gastroenteritis
b. Ectopic pregnancy
c. Gastrointestinal bleeding
d. Irritable bowel syndrome
e. Inflammatory bowel disease
,A 50-yr-old man reports recurring headaches. He describes them
as sharp, stabbing, and around his left eye. He says his left eye
seems to swell and get teary when these headaches occur. Based
on this history, you suspect he has
a. cluster headaches.
b. tension headaches.
c. migraine headaches.
d. medication overuse headaches. Correct Answer a. cluster
headaches.
A 65-yr-old woman was just diagnosed with Parkinson's disease.
The priority nursing intervention is
a. searching the Internet for educational videos.
b. helping the caregiver explore respite care options.
c. promoting physical exercise and a well-balanced diet.
d. teaching about the benefits and risks of ablation surgery
Correct Answer c. promoting physical exercise and a well-
balanced diet.
A characteristic common to all hormones is that they
a. circulate in the blood bound to plasma proteins.
b. influence cellular activity of specific target tissues.
c. accelerate the metabolic processes of all body cells.
d. enter a cell and change the cell's metabolism or gene
expression. Correct Answer b. influence cellular activity of
specific target tissues.
,A nurse is completing a medication reconciliation with a patient
with a history of epilepsy admitted for acute "break-through"
seizure. The patient states they were feeling sick for a few days
and did not take all their prescription medications. The nurse
recognizes that which of the following (missed) medications as
most likely related to the break-through seizure?
a labetolol
b phenytoin
c atorvastatin
d hydrochlorothiazide Correct Answer b phenytoin — dilantin
A nurse is completing an admission assessment for a patient
diagnosed with acute gastritis. Which of the following would the
nurse correctly identify as a likely cause of this gastritis?
A new diagnosis with an H. Pylori infection
The patient takes 1-2 tablets of OTC acetaminophen once or
twice a week
A recent history of a mild upper respiratory infection
A 65-year-old patient with a history of occasional use of
cigarettes from age 18-21 Correct Answer A new diagnosis
with an H. Pylori infection
A nurse is reviewing the following lab results for a patient
admitted for acute seizure. Which of the following results would
the nurse recognize as a possible contributing factor for the
seizure activity?
a Serum glucose = 110 mg/dL
b Hemoglobin and Hematocrit = 14.6 g/dL and 43.5%
, c Serum sodium = 121 mEq/L
d Serum creatinine = 0.91 mg/dL Correct Answer c Serum
sodium = 121 mEq/L
Very low!!!
A nurse knows which of the following patients is at highest risk
of developing SIADH?
A patient taking furosemide, a loop diuretic, daily
A patient with chronic migraine headaches
A patient taking metoprolol, an antihypertensive medication,
daily
A patient with lung cancer Correct Answer A patient with lung
cancer
A nurse planning care for a patient admitted to the hospital with
a new diagnosis of Addison Disease should consider which of
the following commonly implemented interventions? SELECT
ALL THAT APPLY
Ensure a calm, quiet, restful environment
Administer hormone replacement therapy as scheduled
Fluid restriction of 800-1000mL/day
Diet orders that include low sodium and increased protein
Teach the patient wear or carry medical information jewelry or
card
Initiate seizure precautions and strict bedrest Correct Answer
Ensure a calm, quiet, restful environment
Administer hormone replacement therapy as scheduled
Teach the patient wear or carry medical information jewelry or
card
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